Provider Demographics
NPI:1750585121
Name:YOU, EUNHA (DDS)
Entity type:Individual
Prefix:
First Name:EUNHA
Middle Name:
Last Name:YOU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1231 OSOS ST
Mailing Address - Street 2:
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93401-3619
Mailing Address - Country:US
Mailing Address - Phone:805-544-3434
Mailing Address - Fax:805-544-3443
Practice Address - Street 1:1231 OSOS ST
Practice Address - Street 2:
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-3619
Practice Address - Country:US
Practice Address - Phone:805-544-3434
Practice Address - Fax:805-544-3443
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA546561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice